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← Document results/DEP Box 40/53 WARREN ST 1001442, 133/21 53 WARREN STREET 1001442, 133/21
Document / 10 pages

Asbestos disposal and documentation form, undated

Machine-extracted title · confidence 95%

EPA waste management log and documentation form for asbestos disposal activities involving generators and contractors.

NYC-WTC_000113262–000113271

Folder label: “53 WARREN ST 1001442, 133/21 53 WARREN STREET 1001442, 133/21”

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Scanned page image, NYC-WTC_000113267
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE ASBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 JOEL A. MIELE.SR..P.E. COMMISSIONER BULK ANALYSIS CHAIN OF CUSTODY

Incident No.: Date Sampled: Li b ~/ , Premise: 5 B { ~'~"' o f Boro: I( "'t ^1~+

Time- 3 am~

Inspector• f~ Print Signature

Turnaround Time: Immediate I 24 Hours 1 1 48 Hours I I I Week I I

SAMPLE NUMBER I DESCRIPTION ... . ..... LOCATION SAMPLE I LAB ID _~}—

2. 1 ( o >^ MI £e,.-r~ o g .*$ 3. )- l o of

5 a— b DYE ►1 K K o~ 6.

7.

8.

9.

10.

ANALYSIS REQUESTED: Asbestos PLM I Asbestos TEM I I Lead I I

Sate .. ... Time 'ted 8s comments . _.._

1. am Print pm Sign

2. am Print pm Sign

3. am Print pm Sign

4. am Print pm Sign

5. am Print pm Sign PEP ACLP REV5/00

NYC-WTC 000113267

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NYC-WTC_000113267Source: NYC Law Department, mirrored locally

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